AMANDA JEAN ELDER (PAC) – Physician Assistant, NPI 1215900048
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for AMANDA JEAN ELDER (PAC)
Holliman Medical Building, 1705, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States
SUITE 302
TULSA, OK 741045405
Phone: (918) 748-7585
Fax: (918) 403-6352
Type: Location
PO BOX 25277
OVERLAND PARK, KS 662255277
Phone: (918) 307-6920
Fax: (918) 307-6951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Boston Scientific Corporation ($40).
Total Amount
$107
General + Research + Ownership
Payments
4
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $40 |
| CORDIS US CORP. | $26 |
| Biogen, Inc. | $25 |
| Dexcom, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051223000081 | I | Physician Assistant | OK | TBD |
| I20220107000328 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36573 | Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older | 94 | 93 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 81 | 78 | $0 |
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 79 | 44 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 53 | 52 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 46 | 46 | $0 |
Insurance plans in this area (ZIP 74104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | SC | |
| Physician Assistant | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA |
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